Sr. Software Engineer (EHR Integration Team)

Natera; Texas; Remote; USD 125,000 - 156,000; Full time

Job summary

Natera is seeking a hands-on software engineer to build SMART on FHIR apps that launch from Epic and other EHRs. You will design the backend with FHIR R4, implement CDS Hooks, and ensure HIPAA-compliant handling of PHI in secure environments.

The role involves onboarding apps with Epic Showroom and Oracle Health, collaborating with product and IT teams, and mentoring junior engineers. Strong Java/Spring Boot on AWS is required.

Qualifications

• BS in computer science, a related field, or equivalent experience.
• 6+ years of software development, with at least 3 building EHR integrations in production.
• Hands-on SMART on FHIR: you have built and shipped an app that launches inside an EHR, not only consumed FHIR data.
• Strong FHIR R4: resource modeling, search, and terminology (LOINC, SNOMED, ICD-10).
• Production go-live with Epic; Oracle Health (Cerner), athenahealth, MEDITECH or others a plus.
• Backend services in Java and Spring Boot or similar, on AWS.
• Experience handling PHI under HIPAA in a production system.
• Clear communication with clinicians, health system IT and product.

Responsibilities

• Build and ship SMART on FHIR apps: EHR launch and standalone launch, OAuth 2.0 with PKCE, backend services authorization, scopes and token handling.
• Design and build the server side: FHIR R4 APIs, mapping to our internal data model, profiles and extensions.
• Build CDS Hooks services with prefetch that respond within EHR time limits.
• Take apps through EHR vendor onboarding and go-live, starting with Epic, then Oracle Health and others.
• Handle PHI correctly in storage, caching, logging and tracing: minimum necessary data, encryption, audit trails, no PHI in logs.
• Work with HL7 v2 and interface engine flows where the EHR needs them.
• Write design docs, review code and mentor engineers.
• Be on call for what you ship.
• This role works with PHI on a regular basis both in paper and electronic form and have access to various technologies to access PHI (paper and electronic) in order to perform the job.
• Must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire.
• Must maintain a current status on Natera training requirements.

Skills

FHIR R4

SMART App Launch

OAuth 2.0

CDS Hooks

REST & Microservices

AWS

SQL & PostgreSQL

React & TypeScript

Quality assurance mindset

Education

BS in CS or related field or equivalent experience

Tools

Java

Spring Boot

REST APIs

AWS (SQS/S3/SNS/Lambda)

PostgreSQL/MySQL

Docker

CI/CD

Linux

React

TypeScript

Job description

POSITION SUMMARY

Natera is building apps and services that run inside the clinician's EHR. This is a hands‑on role.
You will build SMART on FHIR apps that launch from Epic, Oracle Health (Cerner) and other
EHRs, the FHIR services and data model behind them, and CDS Hooks services that bring
Natera ordering and results into the provider's workflow. You will work in a small team with
product and our wider EHR integration group, and you will handle patient data under HIPAA
every day.

PRIMARY RESPONSIBILITIES

• Build and ship SMART on FHIR apps: EHR launch and standalone launch, OAuth 2.0 with PKCE, backend services authorization, scopes and token handling.
• Design and build the server side: FHIR R4 APIs, mapping to our internal data model, profiles and extensions.
• Build CDS Hooks services with prefetch that respond within EHR time limits.
• Take apps through EHR vendor onboarding and go-live, starting with Epic (Vendor Services and Showroom), then Oracle Health and others. Work with health system IT on build and testing.
• Handle PHI correctly in storage, caching, logging and tracing: minimum necessary data, encryption, audit trails, no PHI in logs.
• Work with HL7 v2 and interface engine flows where the EHR needs them.
• Write design docs, review code and mentor engineers.
• Be on call for what you ship.
• This role works with PHI on a regular basis both in paper and electronic form and have access to various technologies to access PHI (paper and electronic) in order to perform the job.
• Must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire.
• Must maintain a current status on Natera training requirements.

QUALIFICATIONS

• BS in computer science, a related field, or equivalent experience.
• 6+ years of software development, with at least 3 building EHR integrations in production.
• Hands-on SMART on FHIR: you have built and shipped an app that launches inside an EHR, not only consumed FHIR data.
• Strong FHIR R4: resource modeling, search, and terminology (LOINC, SNOMED, ICD-10).
• Production go-live with Epic. Oracle Health (Cerner), athenahealth, MEDITECH or others a plus.
• Backend services in Java and Spring Boot or similar, on AWS.
• Experience handling PHI under HIPAA in a production system.
• Clear communication with clinicians, health system IT and product.

NICE TO HAVE

• CDS Hooks in production.
• An Epic Showroom listing, or an app built in the Oracle Health code console.
• Lab orders and results: ServiceRequest, DiagnosticReport, Observation, and HL7 v2 ORM/ORU.
• FHIR Subscriptions and Bulk FHIR.
• Interface engines such as Mirth, Rhapsody or Cloverleaf.
• React and TypeScript for in-EHR user interfaces.
• USCDI, Da Vinci implementation guides, or ONC certification work.

KNOWLEDGE, SKILLS, AND ABILITIES

• FHIR R4, SMART App Launch, OAuth 2.0 and OIDC, CDS Hooks
• Java and Spring Boot; REST and event-driven microservices
• AWS services such as SQS, S3, SNS and Lambda
• Relational databases and SQL, preferably PostgreSQL or MySQL
• Docker, CI/CD, Linux fundamentals
• React and TypeScript
• Quality assurance mindset

Applicants must be authorized to work in the US without current or future visa sponsorship.

The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.

Remote USA

$125,000 - $156,300 USD

OUR OPPORTUNITY

Natera™ is a global leader in cell‑free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.

The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world‑class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.

WHAT WE OFFER

Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!

For more information, visit www.natera.com.

Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.

All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.

If you are based in California, we encourage you to read this important information for California residents.

Link: https://www.natera.com/notice-of-data-collection-california-residents/

Please be advised that Natera will reach out to candidates with a @natera.comemail domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.

For more information:

• BBB announcement on job scams
• FBI Cyber Crime resource page